The Effect of an Education Program Based on Illness Perception on the Lifestyle of Patients with Metabolic Syndrome: A Randomized Controlled Clinical Trial.
Mahnaz Rakhshan, Mitra Rahimi, Ladan Zarshenas
PMID 31641677WHAT IT FOUND
Tailoring metabolic syndrome education to patients' illness beliefs produced greater lifestyle improvement than routine education over five weeks.
The largest change was nutrition; stress management did not change.
Key findings
01Patients who received illness-perception-tailored education reported greater lifestyle improvement than patients who received routine education.
02The largest lifestyle change was in nutrition, while stress management did not show a significant between-group difference.
03The education emphasis was varied for each patient according to their illness perception answers.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The trial was done in one healthcare centre, so it may not apply to other settings or populations. The main outcome was a patient-reported lifestyle questionnaire. The paper's significance statements do not always match the reported P values. The paper does not report how many participants were excluded for missing a session or dropped out. Blinding is unclear because the paper says randomisation was performed by an assistant for blinding, but does not say participants, educators or assessors were blinded.
The easy way to misread this
Do not conclude that this education program improves stress management or all lifestyle behaviours. The trial measured self-reported lifestyle, and the stress-management dimension did not show a significant between-group difference.